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psnet.ahrq.gov/node/41121/psn-pdf
February 08, 2012 - Patient safety answers require outreach, in-reach, and
partnerships.
February 8, 2012
Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh.
2011;11(4). doi:10.1080/15323269.2011.611436.
https://psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partne…
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psnet.ahrq.gov/node/35532/psn-pdf
March 02, 2010 - Quantification of surgical resident stress "on call".
March 2, 2010
Tendulkar AP, Victorino GP, Chong TJ, et al. Quantification of surgical resident stress "on call". J Am Coll
Surg. 2005;201(4):560-4.
https://psnet.ahrq.gov/issue/quantification-surgical-resident-stress-call
The investigators monitored the heart r…
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psnet.ahrq.gov/node/36510/psn-pdf
June 13, 2011 - Using clinical decision support to improve medication
reconciliation.
June 13, 2011
Moore G. Patient Saf Qual Healthc. November / December 2006.
https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation
The author provides strategies to enhance the value of medication reconcili…
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psnet.ahrq.gov/node/42035/psn-pdf
February 13, 2013 - Using Safety Cases in Industry and Healthcare.
February 13, 2013
London, UK: Health Foundation; December 2012. ISBN: 9781906461430.
https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare
This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor
…
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psnet.ahrq.gov/node/38719/psn-pdf
June 17, 2009 - Implementation of a rapid response team: a success
story.
June 17, 2009
Scott SS, Elliott S. Implementation of a rapid response team: a success story. Crit Care Nurse.
2009;29(3):66-75; quiz 76. doi:10.4037/ccn2009802.
https://psnet.ahrq.gov/issue/implementation-rapid-response-team-success-story
This article desc…
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psnet.ahrq.gov/node/36010/psn-pdf
January 02, 2017 - Operating room briefings: working on the same page.
January 2, 2017
Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt
Comm J Qual Patient Saf. 2006;32(6):351-5.
https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
The authors describe a tool fo…
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psnet.ahrq.gov/node/37012/psn-pdf
February 17, 2011 - Needlestick injuries among surgeons in training.
February 17, 2011
Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J
Med. 2007;356(26):2693-9.
https://psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
This survey revealed that nearly all surgica…
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psnet.ahrq.gov/node/37141/psn-pdf
October 04, 2011 - Fallacious reasoning and complexity as root causes of
clinical inertia.
October 4, 2011
Miles RW. Fallacious reasoning and complexity as root causes of clinical inertia. J Am Med Dir Assoc.
2007;8(6):349-54.
https://psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
The author d…
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psnet.ahrq.gov/node/36531/psn-pdf
March 28, 2011 - Developing a national patient safety education framework
for Australia.
March 28, 2011
Walton MM, Shaw T, Barnet S, et al. Developing a national patient safety education framework for
Australia. Qual Saf Health Care. 2006;15(6):437-42.
https://psnet.ahrq.gov/issue/developing-national-patient-safety-education-frame…
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psnet.ahrq.gov/node/35624/psn-pdf
August 05, 2009 - Residents' responses to medical error: coping, learning,
and change.
August 5, 2009
Engel KG, Rosenthal M, Sutcliffe K. Residents' responses to medical error: coping, learning, and change.
Acad Med. 2006;81(1):86-93.
https://psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change
The aut…
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psnet.ahrq.gov/node/36354/psn-pdf
February 16, 2011 - The human face of simulation: patient-focused simulation
training.
February 16, 2011
Kneebone R, Nestel D, Wetzel C, et al. The human face of simulation: patient-focused simulation training.
Acad Med. 2006;81(10):919-24.
https://psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training
The au…
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - We identify this by asking residents to evaluate their experiences in a resident questionnaire administered
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psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - Physicians' experiences and beliefs regarding informal
consultation. JAMA. 1998;280:900-904.
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psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - Experiences with Patient Safety and Quality Information.
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psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 2025 - Study
Nurse leader perspectives and experiences on caregiver support following
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - But we need folks who can draw on
a variety of experiences, like human factors engineering and organizational
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - For a prenatal test, the patient experiences the blood leaving their vein and that's the end of their
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psnet.ahrq.gov/node/35092/psn-pdf
November 30, 2007 - Standards, audits, and saying I'm sorry: an engineer's
family proposes solutions.
November 30, 2007
Wojcieszak D.
https://psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions
The author, who lost his brother to medical error, reflects on his family's frustrating experience …
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psnet.ahrq.gov/node/37987/psn-pdf
May 26, 2011 - Requirements for the design and implementation of
checklists for surgical processes.
May 26, 2011
Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, et al. Requirements for the design and implementation
of checklists for surgical processes. Surg Endosc. 2009;23(4):715-26. doi:10.1007/s00464-008-0044-4.
https://psnet.ah…
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psnet.ahrq.gov/node/33950/psn-pdf
February 05, 2018 - Quick Tips--When Planning for Surgery.
February 5, 2018
Rockville, MD: Agency for Health Care Policy and Research; 2005. AHRQ Pub. No. 01-0040d.
https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0
This AHRQ brochure provides practical advice for patients facing non-emergent surgery, to help them be
gen…